Organization
LAKE END SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NWOSU O NGOFA MD (PHYSICIAN)
(985) 384-0897
Entity
Organization
Contact information
Practice address
1300 LAKEWOOD DR, SUITE A, MORGAN CITY, LA 70380-1866
(985) 384-0897
(985) 384-0899
Mailing address
PO BOX 1898, MORGAN CITY, LA 70381-1898
(985) 384-0897
(985) 384-0899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
201984
LA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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